Evidence map›Paper›PMID 18186992›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008

Profile of English salaried GPs: labour mobility and practice performance.

Alexander Ding, Mark Hann, Bonnie Sibbald

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Primary care stability as a social determinant.Frontiers in health services · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Medicine an evolving profession.The Australasian medical journal · 2013
    Article
  7. Article
  8. Experience of contractual change in UK general practice: a qualitative study of salaried GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  9. The present state and future direction of primary care: a qualitative study of GPs' views.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  10. A rose by any other name.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  11. Salaried GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Article
  12. Work patterns in UK general practice: turning the clock back?The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Article
  13. The ups and downs of GP life.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Alexander DingSchool of Medicine, University of California San Francisco, California, USA.
Mark Hann
Bonnie Sibbald

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent national policy changes have provided greater flexibility in GPs' contracts. One such policy is salaried employment, which offers reduced hours and freedom from out-of-hours and administrative responsibilities, aimed at improving recruitment and retention in a labour market facing regional shortages.

aimTo profile salaried GPs and assess their mobility within the labour market. DESIGN OF STUDY: Serial cross-sectional study.

settingAll GPs practising in England during the years 1996/1997, 2000/2001, and 2004/2005.

methodDescriptive analyses, logistic regression.

resultsSalaried GPs tended to be either younger (<35 years) or older (> or =65 years), female, or overseas-qualified; they favoured part-time working and personal medical services contracts. Salaried GPs were more mobile than GP principals, and have become increasingly so, despite a trend towards reduced overall mobility in the GP workforce. Practices with salaried GPs scored more Quality and Outcomes Framework points and were located in slightly more affluent areas.

conclusionSalaried status appears to have reduced limitations in the labour market, leading to better workforce deployment from a GP's perspective. However, there is no evidence to suggest it has relieved inequalities in GP distribution.

Indexed as

Attitude of Health PersonnelSalaries and Fringe BenefitsAdultCareer ChoiceCareer MobilityCross-Sectional StudiesEnglandFamily PracticeFemaleHumansJob SatisfactionMaleMiddle AgedPhysicians, FamilyProfessional PracticeProfessional Practice Location

Identifiers

PMID18186992
PMCPMC2148234

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.